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The Hawthorne effect is a phenomenon that occurs when someone changes their behavior based on the fact that they know they are being watched and we see this with direct observation so hospital workers are going about their jobs and theyamp;#39;re theyamp;#39;re performing the care the patient care and then all of a sudden an infection preventionists or a secret shopper might show up and theyamp;#39;re in the corner and they have a clipboard and you know theyamp;#39;re kind of watching what youamp;#39;re doing and you might notice them and so youamp;#39;re thinking, oh theyamp;#39;re probably looking at my hand hygiene so they make sure they go ahead and and perform hand hygiene, in fact there was a recent study that showed that based on the Hawthorne effect hand hygiene compliance can be inflated three times as high as what it is without someone being present. Probably the best thing that hospitals can do to minimize the effect of the Hawthorne effect on its numbers, is to put i